Question

A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

Answer 1

Correct Answers:

Young adulthood

Rationale :

🟢 Schizophrenia most commonly begins in young adulthood, typically between ages 18–25 in males and 25–35 in females.

🟢 Early intervention leads to improved outcomes and delayed progression.

🟢 Diagnosis during this phase can be missed due to overlap with transitional life stressors.

🟢 Early signs often include social withdrawal and subtle cognitive changes.

🟢 Understanding onset timing helps target screening and education.

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Answer 2

Correct Answers:

"Assessing for thoughts of self-harm is important, regardless of age."

Rationale :

🔵 Suicide risk is a top priority in clients with dissociative identity disorder.

🔵 Multiple personalities or amnesia can mask suicidal thoughts or behaviors.

🔵 Age does not reduce the risk—vigilance is essential with both children and adults.

🔵 Establishing a safety plan is key in early interventions.

🔵 Holistic assessment supports trauma-informed care

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Answer 3

Correct Answers:

Report the incident to the appropriate person in the chain of command right away.

Rationale :

🔴 Witnessing drug diversion requires immediate action to protect patients.

🔴 Reporting to the supervisor or nurse manager follows hospital protocol.

🔴 Failure to report can lead to client harm and legal consequences.

🔴 This action also initiates support and rehabilitation for the coworker.

🔴 Ethical responsibility includes maintaining client safety and professional standards

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Answer 4

Correct Answers:

Dopamine antagonist

Rationale :

🟡 Used to treat positive symptoms such as hallucinations, delusions, and disorganized speech.

🟡 They block dopamine receptors, especially in the mesolimbic pathway.

🟡 First-generation drugs like haloperidol, second-generation like risperidone.

🟡 Often part of long-term schizophrenia management.

🟡 Monitoring is needed for EPS, NMS, and metabolic effects.

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Answer 5

Correct Answers:

Dissociative amnesia

Rationale :

🟣 Trauma can lead to involuntary memory loss of the distressing event.

🟣 Often occurs after sexual assault, abuse, or combat trauma.

🟣 Different from neurological amnesia because emotional repression is involved.

🟣 Clients may have gaps in time or forget specific people/places.

🟣 Recovery may occur spontaneously or during therapy.

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Answer 6

Correct Answers:

Interpersonal therapy

Rationale :

🔶 Addresses social fears, rejection sensitivity, and poor self-esteem.

🔶 Encourages safe relationship-building and gradual exposure to interaction.

🔶 Avoidant personality disorder is rooted in fear of disapproval.

🔶 IPT fosters trust through supportive dialogue and problem-solving.

🔶 Preferred over medications unless comorbid depression exists.

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Answer 7

Correct Answers:

"I will address the problem that the client believes is the most significant."

Rationale :

🟤 Honors the client's voice and autonomy, central to trauma-informed care.

🟤 Builds trust especially with vulnerable populations who may fear judgment.

🟤 Enhances the nurse-client relationship and participation in care.

🟤 Recognizes that clients may prioritize concerns differently than the nurse.

🟤 Facilitates culturally sensitive, client-centered care.

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Answer 8

Correct Answers:

Increased heart rate and vomiting

Rationale :

🟠 Early signs of alcohol withdrawal include tachycardia, nausea, anxiety, and tremors.

🟠 Can progress to seizures, hallucinations, and delirium tremens if untreated.

🟠 Onset: usually 6–12 hours after last alcohol intake.

🟠 CIWA-Ar is the assessment scale used to grade severity.

🟠 Requires benzodiazepines and close monitoring.

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Answer 9

Correct Answers:

Relapses should be expected and be looked at as an opportunity.

Rationale :

🟡 Relapse is part of the normal course of recovery from addiction.

🟡 Should be seen as a learning opportunity, not a failure.

🟡 Re-engagement in treatment improves resilience and coping.

🟡 Clients should be educated on relapse triggers and prevention plans.

🟡 Reduces shame and enhances commitment to abstinence.

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Answer 10

Correct Answers:

Speak softly to the client.

Rationale :

🔵 Sexual assault survivors need gentle, trauma-informed communication.

🔵 Loud or abrupt tone can cause re-traumatization.

🔵 Soft speaking builds trust and a sense of safety.

🔵 Should avoid direct eye contact or touching unless consented.

🔵 Non-verbal cues matter—calm posture, quiet environment are key.

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QLexNursing

1 :
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

2 :
A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

3 :
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

4 :
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

5 :
A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

6 :
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

7 :
A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

8 :
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

9 :
A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

10 :
A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

QLexNursing

1 : A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

2 : A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

3 : A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

4 : A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

5 : A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

6 : A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

7 : A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

8 : A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

9 : A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

10 : A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

1 :
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

2 :
A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

3 :
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

4 :
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

5 :
A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

6 :
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

7 :
A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

8 :
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

9 :
A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

10 :
A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?